Management Analyst jobs at UnitedHealth Group

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Sr Systems Analyst will work at the highest technical level of all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Under general direction, formulates/defines system scope and objectives * Able to work individually on a team or project teams and can multi-task * May be responsible for completion of a phase of a project or responsible for leading and completing a project * Regularly provides guidance and training to less experienced analysts * Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models * May support implementation and upgrades to clinical and bio-medical applications * Provide weekly status updates on project(s) progress * Position will require travel to KSC clinic locations for implementation, training and support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree or at least 3+ years of equivalent relevant work experience * EPIC MyChart or EPIC Cadence certification * 3+ years of experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support * Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications * Proven solid ability to define clinical and operating requirements, and translate requirements into clear, specific, actionable system configurations, and ability to implement those configurations * Ability to test and audit personally developed system configurations, in order to assure functional accuracy * Demonstrated excellent communication, relationship, teamwork and project management skills * Demonstrably solid conceptual, process and data analysis skills, and in depth understanding of medical practice informatics, clinical and operating data sets * Proven solid understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization * Demonstrated proficiency with use of desktop computer systems (Windows, Microsoft Office, email) and experience in use of clinical or practice management systems in medical practice * Demonstrated clear ability to articulate benefit realization personally achieved on previous projects * Proven communication, presentation, teamwork, project management, problem solving and technical skills Preferred Qualifications: * Clinical, or Advanced degree * Complex project management experience with demonstrably successful outcome * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management Develop reports and deliverables for management Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis Assist with training and mentoring other Data Analysts Performs other duties as assigned Complies with all policies and standards Candidate should reside in Kansas or surrounding states. Education/Experience: Bachelor's degree related field or equivalent experience. 4+ years of statistical analysis or data analysis experience or 2-4 years of HEDIS data analysis experience including measurement and rates impacted. Expert in Power BI and familiar with AI in Data Analysis preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

At Liberty Mutual, the Capacity Modeling and Optimization team within Claims and Service Data Science builds advanced forecasting and staffing optimization models that enable best in class workforce planning across our Claims and Service lines of business. We convert operational data into decision grade analytics that improve assignment strategies, benchmark productivity, and align capacity with demand. We are hiring a Junior Data Scientist to support the work effort assessment and modeling. With guidance from senior team members, you will help build pipelines and quality checks, develop statistical and simulation models that explain and predict claim/exposure durations and action frequencies, evaluate segmentation and assignment strategies, and support work effort-based staffing forecasts and optimization. This role may have in office requirements based on candidate location. Level of position offered will be based on skills and experience at manager discretion. Responsibilities: Support development of scalable data pipelines and automated quality controls (schema, completeness, drift) across multiple sources. Build statistical models for duration and action frequency; build exposure/phase level features and run exploratory/variance analyses. Assist in clustering/segmentation and hypothesis testing to quantify efficiency and service impacts. Help build and run simulation models to compare assignment policies; analyze results and create scenario comparisons. Help building work effort-based demand forecasts and staffing models; implement components of optimization models with supervision. Maximize usable data by applying censoring aware methods, imputation, and reconciliation, document assumptions and ensure reproducibility. Communicate findings through dashboards, reports, and presentations; collaborate with Claims and Service partners to move insights into practice. Follow MLOps best practices (Git, reproducible workflows, experiment tracking) under mentorship. Preferred skills and experience: Solid foundation in statistics and ML: regression/GLM, inference, experimental design; familiarity with survival/censoring, time series, and hierarchical models. Exposure to operations research and simulation: queueing concepts, discrete event or agent-based simulation; familiarity with OR Tools or Pyomo and SimPy is a plus. Proficiency in Python and SQL; experience with pandas, NumPy, scikit learn, stats models; visualization using Plotly/Seaborn and dashboarding (e.g., Dash) is a plus. Experience writing clean, tested code with version control (Git); familiarity with MLflow and workflow orchestration (e.g., Airflow) is a plus. Comfort working with large, complex operational datasets; strong problem solving, communication, and collaboration skills. Additional skills and experiences that are nice to have: Coursework or experience in claims/service operations or workforce management. Familiarity with cloud platforms (AWS/GCP/Azure) and distributed processing (Spark). Exposure to Docker and CI/CD; experience deploying models or dashboards with supervision. Qualifications Solid knowledge of predictive analytics techniques and statistical diagnostics of models. Advance knowledge of predictive toolset; expert resource for tool development. Demonstrated ability to exchange ideas and convey complex information clearly and concisely. Has a value-driven perspective with regard to understanding of work context and impact. Competencies typically acquired through a Master's degree (scientific field of study) and 0-1 years of relevant experience or a Bachelor's degree (scientific field of study) and 3+ years of relevant experience. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Position Purpose: Responsible for analytical data needs. Handle complex data requests, reports, and predictive data modeling. Analyze health management programs including: data collection, validation and outcome measurement. Financial, pharmacy, claims, provider, and member data. IRS, CMS, HHSC, HEDIS reporting. Internal data cleansing and data reconciliation analysis. Trend analysis in various functional areas of health care management. Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core databases (ODS/EDW). Produce reports for and interface with senior management and internal and external stakeholders. Gather and interpret business requirements and monitor data trends to proactively identify issues. Execute data changes and update core systems as needed. Handle multiple projects and timelines effectively and communicate risks and issues to manager regularly. Assist with training lower level Data Analysts. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's degree's related field or equivalent experience. 2+ years of statistical analysis or data analysis experience. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform day to day functions to inbound requests and maintain provider database. Audit analyses on completed requests and monitor compliance status of submitted requests. Analyze inbound request to determine accuracy and route request to provider changes or other cross functional teams Maintain provider data management systems for accuracy Handle and resolve provider data issues, such as mass change updates, limited reconciliations and direct submissions of urgent requests Coordinate provider data between the health plan database and various internal databases Participate in reconciliation and provider data projects Review, investigate and resolve inquiries regarding loaded providers that may have issues reported from internal and external customers Submit daily and weekly internal and external status reports Initiate and process provider add, change and termination forms Track, update and audit provider information in database Assist in Corporate audit activities or requests for claims provider set up Education/Experience: High school diploma or equivalent. Associate's degree in related field preferred. 3+ years of provider data or network administration experience, preferably in managed care. Proficient in Microsoft Access and Excel applications. Experience with data management in large databases, reporting, and analysis preferred. This position is remote within the state of New York or the Tri-State area. Quarterly and as needed meetings in office are required. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

The Program Management Lead Analyst plays a key role within the Clinical Sales and Network Organization (CSNO) team, supporting CSNO Clinicians who represent Cigna externally. This position enables successful alignment between Cigna's most complex clients, provider partners, and internal stakeholders with Cigna's clinical programs, products, and services. The analyst supports the Sales Organization and contributes to the execution of value-based partnerships, such as Cigna's Collaborative Care Organizations (CCC), driving cross-functional collaboration to improve quality, affordability, and customer satisfaction. Key Responsibilities: Complete care management summary reviews for high-cost claimants in accordance with corporate guidelines. Conduct in-depth clinical summary reviews, including analysis of medical records and claims data. Summarize and compile findings to support Market Medical Executives and Nurse Executives in client-facing engagements. May lead to small to mid-sized stretch projects focused on implementing process improvements. Collaborate with multiple-matrix partners in a fast-paced, dynamic environment. Navigate and utilize systems including ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth Express Scripts, and TruCare. Demonstrate understanding of Cigna's core clinical programs and their application. Qualifications: Minimum of 5 years of clinical or clinical support experience. Strong analytical and research skills with the ability to interpret complex clinical information. Experience with ICMS, HC ICMS, CCMS, HEV, OneView, Evernorth Express Scripts, or TruCare strongly preferred. Experience with CPT and ICD-10 coding is highly recommended. Excellent time management, organizational, and communication skills. Proven ability to build strong relationships and influence cross-functional teams. Demonstrates flexible, consultative critical thinking and effective action planning. Proficient in Microsoft Office and other relevant technology platforms. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 76,400 - 127,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to improve computer-based business applications for the most effective use of money, materials, equipment, and people. Performs application/system design and implementation. Documents development requirements. Consults with end users to test and debug applications to meet client needs. Responsible for submitting any necessary clean up scripts (SQL) and validating the results. Responsible to configure source system (Xcelys - Claims processing system) - setting up members benefits and authorization requirements within Xcelys Claim processing system. Develops ad-hoc reports to conduct data analysis and validation. Confers with area/department to analyze current operational procedures and trends and identify problems. Conducts business analysis and recommends technical alternative solutions to management as to course of action that best meets the organization's goals. Research, evaluate and assess the financial impact of issues identified in data/processes. Supports, troubleshoots, and maintains systems and applications as required, optimizing performance, resolving problems, and providing timely follow-up on identified issues. Analyzes requirements, procedures, and problems to automate processing or to improve existing business systems. Creates multiuser, real-time, robust database solutions. Acts as content expert to provide business and technical expertise in requirements solicitation, system analysis, technical design, programming and documentation of business applications/systems. May be responsible for monitoring and reporting to management on the status of departmental projects: Anticipates and identifies issues that could inhibit achieving the project goals and objectives, and implementing corrective actions and mitigation strategies. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Required A Bachelor's Degree in a related field, Required or equivalent work experience in technical data analysis, conducting system analysis meetings, developing system design documents, developing project plans with achievable milestones and deadlines, and mediating different department demands to gain approvals on system scope and design. Preferred a Master's degree in a related field, i.e., Mathematics, Computer Science, etc may be considered in lieu of some of the required experience (not to exceed 2 years) Candidate Experience: Preferred 1+ year of experience in Healthcare Required 2+ years of experience in relevant programming to include SAS, SQL, VB.NET, or Oracle (or similar depending upon departmental requirements) Required 3+ years of experience in related business analysis Preferred 1+ year of experience in ASP/ASP.NET Licenses and Certifications: A license in one of the following is preferred SAS Certification Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

At Liberty Mutual, the Capacity Modeling and Optimization team within Claims and Service Data Science builds advanced forecasting and staffing optimization models that enable best in class workforce planning across our Claims and Service lines of business. We convert operational data into decision grade analytics that improve assignment strategies, benchmark productivity, and align capacity with demand. We are hiring a Junior Data Scientist to support the work effort assessment and modeling. With guidance from senior team members, you will help build pipelines and quality checks, develop statistical and simulation models that explain and predict claim/exposure durations and action frequencies, evaluate segmentation and assignment strategies, and support work effort-based staffing forecasts and optimization. This role may have in office requirements based on candidate location. Level of position offered will be based on skills and experience at manager discretion. Responsibilities: * Support development of scalable data pipelines and automated quality controls (schema, completeness, drift) across multiple sources. * Build statistical models for duration and action frequency; build exposure/phase level features and run exploratory/variance analyses. * Assist in clustering/segmentation and hypothesis testing to quantify efficiency and service impacts. Help build and run simulation models to compare assignment policies; analyze results and create scenario comparisons. * Help building work effort-based demand forecasts and staffing models; implement components of optimization models with supervision. * Maximize usable data by applying censoring aware methods, imputation, and reconciliation, document assumptions and ensure reproducibility. * Communicate findings through dashboards, reports, and presentations; collaborate with Claims and Service partners to move insights into practice. * Follow MLOps best practices (Git, reproducible workflows, experiment tracking) under mentorship. Preferred skills and experience: * Solid foundation in statistics and ML: regression/GLM, inference, experimental design; familiarity with survival/censoring, time series, and hierarchical models. * Exposure to operations research and simulation: queueing concepts, discrete event or agent-based simulation; familiarity with OR Tools or Pyomo and SimPy is a plus. * Proficiency in Python and SQL; experience with pandas, NumPy, scikit learn, stats models; visualization using Plotly/Seaborn and dashboarding (e.g., Dash) is a plus. * Experience writing clean, tested code with version control (Git); familiarity with MLflow and workflow orchestration (e.g., Airflow) is a plus. * Comfort working with large, complex operational datasets; strong problem solving, communication, and collaboration skills. Additional skills and experiences that are nice to have: * Coursework or experience in claims/service operations or workforce management. * Familiarity with cloud platforms (AWS/GCP/Azure) and distributed processing (Spark). * Exposure to Docker and CI/CD; experience deploying models or dashboards with supervision. Qualifications * Solid knowledge of predictive analytics techniques and statistical diagnostics of models. * Advance knowledge of predictive toolset; expert resource for tool development. * Demonstrated ability to exchange ideas and convey complex information clearly and concisely. * Has a value-driven perspective with regard to understanding of work context and impact. * Competencies typically acquired through a Master's degree (scientific field of study) and 0-1 years of relevant experience or a Bachelor's degree (scientific field of study) and 3+ years of relevant experience. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

At Liberty Mutual, the Capacity Modeling and Optimization team within Claims and Service Data Science builds advanced forecasting and staffing optimization models that enable best in class workforce planning across our Claims and Service lines of business. We convert operational data into decision grade analytics that improve assignment strategies, benchmark productivity, and align capacity with demand. We are hiring a Junior Data Scientist to support the work effort assessment and modeling. With guidance from senior team members, you will help build pipelines and quality checks, develop statistical and simulation models that explain and predict claim/exposure durations and action frequencies, evaluate segmentation and assignment strategies, and support work effort-based staffing forecasts and optimization. This role may have in office requirements based on candidate location. Level of position offered will be based on skills and experience at manager discretion. Responsibilities: Support development of scalable data pipelines and automated quality controls (schema, completeness, drift) across multiple sources. Build statistical models for duration and action frequency; build exposure/phase level features and run exploratory/variance analyses. Assist in clustering/segmentation and hypothesis testing to quantify efficiency and service impacts. Help build and run simulation models to compare assignment policies; analyze results and create scenario comparisons. Help building work effort-based demand forecasts and staffing models; implement components of optimization models with supervision. Maximize usable data by applying censoring aware methods, imputation, and reconciliation, document assumptions and ensure reproducibility. Communicate findings through dashboards, reports, and presentations; collaborate with Claims and Service partners to move insights into practice. Follow MLOps best practices (Git, reproducible workflows, experiment tracking) under mentorship. Preferred skills and experience: Solid foundation in statistics and ML: regression/GLM, inference, experimental design; familiarity with survival/censoring, time series, and hierarchical models. Exposure to operations research and simulation: queueing concepts, discrete event or agent-based simulation; familiarity with OR Tools or Pyomo and SimPy is a plus. Proficiency in Python and SQL; experience with pandas, NumPy, scikit learn, stats models; visualization using Plotly/Seaborn and dashboarding (e.g., Dash) is a plus. Experience writing clean, tested code with version control (Git); familiarity with MLflow and workflow orchestration (e.g., Airflow) is a plus. Comfort working with large, complex operational datasets; strong problem solving, communication, and collaboration skills. Additional skills and experiences that are nice to have: Coursework or experience in claims/service operations or workforce management. Familiarity with cloud platforms (AWS/GCP/Azure) and distributed processing (Spark). Exposure to Docker and CI/CD; experience deploying models or dashboards with supervision. Qualifications Solid knowledge of predictive analytics techniques and statistical diagnostics of models. Advance knowledge of predictive toolset; expert resource for tool development. Demonstrated ability to exchange ideas and convey complex information clearly and concisely. Has a value-driven perspective with regard to understanding of work context and impact. Competencies typically acquired through a Master's degree (scientific field of study) and 0-1 years of relevant experience or a Bachelor's degree (scientific field of study) and 3+ years of relevant experience. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow. Build your future with us The Cincinnati Insurance Companies' IT department is currently seeking business analysts to act as the client relationship liaison between a business unit and the IT department; and work with IT service or project teams to collect, clarify and translate business requirements into documentation and conceptual design (using appropriate tools and models) from which technology solutions can be developed. Work location and flexibility are subject to change based on evolving business needs, but generally, selected candidates who reside: * within 50 miles of Headquarters may be expected to work in a hybrid capacity, combining remote and onsite work when business needs necessitate. * more than 50 miles from Headquarters must be flexible and available to travel to Fairfield, OH, on an occasional basis for special events, training sessions, or key meetings. To ensure active engagement in meetings, it is mandatory for all IT associates to have cameras turned on for all interactions with other associates, customers, and stakeholders. Your camera must be on and positioned correctly to clearly show your face. This practice is crucial for maintaining connection and engagement, as non-verbal cues are essential for effective communication. Be ready to: * capture, analyze and document business and user requirements * facilitate meetings with IT and business unit management and staff accordingly * understand the business domain, its processes, systems, data and the inherent linkages among them and is able to execute on project plans by creating deliverables to meet project needs * participate in or direct business process analysis in support of requirements identification * partner with test team and assist in the preparation of the testing strategy and testing execution plans to ensure test cases map to requirements * provide assistance with how-to requirements in terms of reporting documentation * contribute to the development of IT Business Analysis & Testing Services team best practices via research and mentoring * be an active participant in all phases of the project lifecycle and work with several parties to ensure that all business requirements are understood, documented and met * define (or redefine) business needs for new and/or enhanced products, services or optimized business processes * build and cultivate strong relationships with stakeholders; consult with stakeholders to understand goals and objectives Be equipped with: * three years or more of business analysis experience supporting medium-sized initiatives * detail oriented, highly organized and able to manage multiple project tasks concurrently * ability to be flexible and able to deal with frequently-changing priorities in a fast-paced environment * strong analytical and problem-solving skills * excellent communication skills * adept and effective meeting facilitator * clear and effective writer and documenter with experience writing technical documentation * experience gathering requirements * advanced knowledge of and experience with business modeling tools, such as process and workflow modeling * ability to create test scripts and perform software tests * knowledge of writing test cases and test plans * ability to oversee/direct target user group profiling * experienced and skilled user of office productivity tools, including advanced knowledge of Microsoft Word, Excel and PowerPoint * explicit insurance knowledge and experience preferred Bring education or experience from: * university degree/college diploma or equivalent business experience Enhance your talents Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career. Enjoy benefits and amenities Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Learn more about our benefits and amenities packages. Embrace a diverse team As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation; religion; national origin; age; disability; or any other basis prohibited by law. Learn more about the Federal Employment Notices.

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provide data analysis, process improvement insights, and governance support for an IT Project Management Office. This role focuses on ensuring operational excellence by driving the adoption of project management best practices and ensuring transparency across large, enterprise-wide, strategic technology initiatives. Analyze project documentation and data to identify trends, risks, and opportunities for improvement. Develop and maintain dashboards and reports to track key performance indicators (KPIs) and project health. Generate insights from documentation and data to support decision-making and identify trends. Assist in the implementation and adherence to PMO standards and practices. Conduct compliance audits on project documentation, tool adoption, and delivery effectiveness. Facilitate resolution of gaps or issues in findings resulting from analysis. Maintain and update governance policies and procedures for project and program management. Identify and recommend process improvements to enhance delivery operations. Collaborate with cross-functional teams to implement process enhancements and standardize workflows. Perform project health assessments, risk reviews, and resource planning analysis. Review project plans and financial forecasts to ensure alignment with PMO standards. Provide tool support and training for project management capabilities. Support ongoing updates to training materials and user guides. Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 0 - 2 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Or completion of a Centene-sponsored emerging talent program.Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

The Home Planning & Monitoring team within US Retail Markets (USRM) Risk & Analytics is seeking a talented Senior Analyst! Our team is responsible for crafting a holistic and compelling opinion of the loss ratio and topline as part of the quarterly Plan, as well as analyzing, synthesizing, monitoring, and communicating emerging trends to a broad group of stakeholders. In this role, you will collaborate with multiple teams and functional areas across the organization in the planning & monitoring system. You will work as part of the team that supports the development of financial forecasts via key opinions and communicates insights and findings to a broad group of stakeholders as well as senior leadership. You will own the maintenance and building of critical files used to upload quarterly forecasts and explain key planning metrics (written premium, policies in force, frequency, severity, loss ratio) and how those are built up from the broader team's analysis. **This role may have in-office requirements dependent upon candidate location.** Responsibilities: Ensure the timely delivery of planning and monitoring deliverables. Effectively collaborate with cross-functional areas; appropriately interpret, collect, and generate sound and consistent perspectives. Provide clear and concise communication of technical work to broad audiences, cross-functionally, and to senior leadership. Innovate better ways to depict and explain plan changes and monitoring insights. While leveraging analytical, financial, and operational knowledge, utilize advanced data skills and tools, such as SAS, SQL, Snowflake, VBA, and PowerBI, to drive analytical and process improvements. Support teammates in ad hoc deep dives and requests spanning topics across the topline and loss teams. Qualifications Bachelor's Degree plus a minimum 3 years, typically 4 or more years of experience, or equivalent, is required. Mathematics, Economics, Statistics or other quantitative field are preferred fields of study. Advanced knowledge of data sources, tools, statistical principles and methodologies, and techniques. Advanced proficiency in Excel (VBA, macros, scripts, formulas, data visualization, etc.), PowerPoint, and statistical software packages (SAS, Emblem). Must have good planning, analytical, decision-making and communication skills. Solid understanding of business to improve business outcomes. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This position will work as an Incident Commander/Coordinator for activities that require an issuance of the enterprise-wide Incident Response Plan. The individual selected for this position will recommend enhancements found through after-action reporting or pro-active threat hunts. Outstanding communication skills will be essential with this job role, constant updates and recommendations will be briefed with leadership from multiple business units. Keeps abreast of security breaches and ensure incident and response management processes are initiated. Collaborates with Information Security Architects, Information Security Engineers, and software or hardware stakeholders at Centene. Ties third party attack monitoring services and threat reporting services, into internal CIRT (Cyber Incident Response Team) communications systems. Strong written and verbal communication skills. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires deep functional and Centene specific knowledge with 6 - 8 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: Knowledge of tools, techniques, and processes (TTP) used by threat actors Knowledge of Indicators of compromise (IOC) Experience with Endpoint protection and enterprise detection & response software (such as CrowdStrike or Carbon Black) Knowledge of network and infrastructure technologies including routers, switches, firewalls, etc. Experience with cloud infrastructure and security best practice Experience with Cloud Detection and Response technology Soft Skills: Advanced - Seeks to acquire knowledge in area of specialty Advanced - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Advanced - Ability to work independently Advanced - Demonstrated analytical skills Advanced - Demonstrated project management skills Advanced - Demonstrates a high level of accuracy, even under pressure Advanced - Demonstrates excellent judgment and decision making skills Advanced - Ability to communicate and make recommendations to upper management Advanced - Ability to drive multiple projects to successful completion Advanced - Possesses technical aptitude Pay Range: $119,100.00 - $220,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

**Become a part of our caring community and help us put health first** The Senior Value-Based Programs Reporting Analyst builds templates, standard documentation, policy and protocol, and disseminates best in class knowledge concerning Humana's Physician Recognition programs. The Senior Value-Based Programs Reporting Analyst's work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This position serves as a subject matter expert for Humana's strategies supporting physician practice evolution and movement along the value-based continuum. Associate will make decisions on moderately complex to complex issues regarding technical approach for project components, and work is often performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Position will serve as a subject matter expert (SME) for the creation and implementation of Humana's Primary Care Physician Recognition programs, including Model Practice, Patient-Centered Medical Home, and Quality Recognition programs across multiple lines of business (Medicare and Medicaid). + Utilizes complex SQL, SAS, and other technical skills to drive process improvement and assist markets in managing their value-based relationships + Works cross-functionally with various other departments in order to source and aggregate data elements for program administration and reporting + Creates the data infrastructure that supports various downstream departmental processes, including provider contract review and interpretation and maintenance of participation table processes + Serves as a primary technical subject matter expert for department processes and the creation of program reporting + Creates process documentation for both existing and new program reporting using tools including, but not limited to, PowerBI, PowerApps and SAS/SQL In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + Flex Spending Accounts + Life Insurance + 401(k) + PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time + And more **Use your skills to make an impact** ** Required Qualifications** + ** ** 5+ years' experience with Data Analytics and Reporting Tools (SQL, SSRS, Python, and/or SAS) + 3+ years' Healthcare provider data experience + Advanced knowledge of MS Excel (pivot tables, vlookups, formulas, etc.) + Experience working with large data sets and garnering insights + Strong written and verbal communication skills + Ability to grasp complex subjects and work independently to devise creative solutions + Individual initiative and desire to grow ** ** **Preferred Qualifications** + Bachelor's Degree (Preferably in Finance, Business Administration, or Computer Information Systems) + Experience working with data visualization tools (e.g. PowerBI or other) + Databricks experience + Project Management Experience + Advanced Knowledge of Humana's Data Infrastructure **Additional Information** **_You must be authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role._** Work at Home/Remote Requirements **Work-At-Home Requirements** + To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate. + Wireless, Wired Cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.) + Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Our Hiring Process** As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. \#LI-LM1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-16-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

can be located anywhere in the USA This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider recruitment and contracting as well as managing contracted provider relationships for a specified territory. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in the Network Management Organization. Responsibilities: Recruiting providers to join Cigna's dental networks (PPO & DHMO): Field Recruitment: Candidates will visit offices in person (25-50% travel) Outbound Calling: Candidates will follow up with visited offices via phone at home Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs Achieve competitive and cost-effective contracts in assigned areas or assigned client/customer needs Negotiate contracts and recruit dental providers to become a Cigna PPO and/or DHMO network provider. Explain plans, policies, and procedures to potential providers Maintain positive relationships with health care professionals and their office staff extending high quality service Conduct negotiations and ensure the smooth operation and administration of provider agreements Support and retention of offices in our dental networks Complete onsite quality assessments Respond to provider inquiries, concerns, complaints, appeals and grievances Provide ongoing product education to dentists and their staff Work to achieve contract discounts with new providers and current providers through thoughtful negotiation Use data and facts to identify and overcome objections Prioritize and organize own work to meet deadlines, and reach established personal and department goals Conduct ongoing support to contracted providers in our networks via telephone or by personal relationship visits. Requirements: High School Diploma or equivalent required 1-3 year plus experience in healthcare administration or provider relationship management, preferably experience working with Dental offices Strong skill set required in the following areas: analytical, negotiations, financials, presentation skills, written and oral communication skills Strong negotiation and communication skills Self-Starter and organized Intermediate proficiency in Microsoft Office products required Valid drivers license Phone Etiquette - Inbound/Outbound calls Ability to manage multiple priorities in a fast-paced environment Strong relationship management skills: ability to foster collaboration, value other perspectives and gain support and buy-in Sales Experience is a plus Bilingual is a plus (English and Spanish) This position can be located anywhere in the USA If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 58,500 - 97,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

As a Sr. Analyst in Small Commercial Risk Analytics, you will you will play a critical role in the calculation and analysis of the Underwriter pricing tools, performing analyses designed to improve business processes and support decisions that contribute to profitable growth. This role will have exposure to teams across Small Commercial including Indications, Data Science, State, Underwriting and other Product teams to help optimize and monitor our underwriting tools and a variety of other critical strategic decisions. This is an exciting opportunity where your work will greatly influence strategy, decision-making and contribute to Liberty's goal of being a top 3 Global P&C insurer! **This position may have in-office requirements dependent upon candidate location.** Responsibilities: Responsible for updating all Risk Analytics owned inputs of the underwriting pricing tool(s). Collaborate with UWE monitoring team to share findings & align interpretation. Provide pricing tool analytics on a quarterly and ad hoc basis, supporting stakeholder communication and engagement. Owner of certain PowerBI dashboards, executing monthly updates and supporting the development and implementation of enhancements. Support the training of end-users. Based on analysis, develops reports, proposals for action or implementation plans as necessary and presents to manager with opportunity to present to other Small Commercial leaders. Communicates and collaborates with other departments as necessary to deliver guidance and actionable analysis. Resolves problems as needed to ensure guidance, reporting and analysis are delivered accurately and on time. Special Projects as prioritized within SC Risk Analytics. Meets with supervisor to discuss deliverable(s) status and present recommendations. Qualifications Bachelor's Degree plus a minimum 3 years, typically 4 or more years of experience, or equivalent, is required. Mathematics, Economics, Statistics or other quantitative field are preferred fields of study. Advanced knowledge of data sources, tools, statistical principles and methodologies, and techniques. Advanced proficiency in Excel (VBA, macros, scripts, formulas, data visualization, etc.), PowerPoint, and statistical software packages (SAS, Emblem). Must have good planning, analytical, decision-making and communication skills. Solid understanding of business to improve business outcomes. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Become a part of our caring community and help us put health first The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting and Improvement organization (HQRI). This support includes submission of encounter data to Medicaid, Medicare, and DSNP states and will require the ability to manage inventory, ensure compliance adherence, and solve complex business challenges ranging from moderate to substantial. The Lead, Encounter Data Management will support the effectiveness and efficiency of encounter data management submissions by ensuring inventory is processed accurately, timely and with completeness. In addition, this role will need partnering with multiple teams and leaders on new state implementations, conduct annual state contract reviews, analyze new regulatory requirements, and support the development of compliance and operational processes. The Lead, Encounter Data Management Lead will identify and analyze inventory and will ensure encounter submissions meet or exceed all compliance standards via analysis of data and develop tools to enhance the encounter acceptance rate by Medicaid, Medicare, and DSNP. This role will work on strategic initiatives and will need to solve problems of diverse scope and complexity ranging from moderate to substantial. This role will utilize various tools, technologies, applications, and data resources. Use your skills to make an impact Required Qualifications Minimum 5 years of technical experience in CAS or X12, including working knowledge of EDI formats: 834, 835, 837, 270/271, 277, etc. Experienced working in an SQL environment with comprehensive knowledge of SSMS 2 or more years of project leadership experience Demonstrated experience building and presenting story-driven presentations based on analytics Strong working knowledge of Cloud Technologies (Azure Synapse Analytics), Databricks and Power Platform (Power BI, Power Automate, & Power Apps) Knowledgeable in process improvement and metrics development Knowledgeable in regulations governing health care industries or related adjacent industries Ability to be creative, anticipate and be proactive around the next steps in large initiatives simultaneously Must be passionate about contributing to an organization focused on continuously improving consumer experiences and business outcome. 2 + years' experience in managing change by leading and energizing others, modeling adaptability, and inspiring strong organizational performance through periods of transformation, ambiguity, and complexity. Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with senior and executive level audiences Highly collaborative mindset and excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs and win their co-ownership in the outcome Collaborative with adjacent business intelligence and data science teams to drive results Preferred Qualifications Bachelor's Degree Comprehensive knowledge of advanced analytic and experience with Python, Databricks or other statistical software Experience managing large-scale projects or leading cross-functional teams, preferably in healthcare data management. Experience with state or federal encounter data submission portals (e.g., CMS, state Medicaid portals) and troubleshooting submission errors. Proven track record in implementing or overseeing data quality assurance processes and tools. Experience working with external vendors, technology partners, or third-party administrators in a data exchange environment. Additional Information Work-At-Home Requirements: WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected, you will receive correspondence inviting you to participate in a HireVue assessment. You will have a set of questions, and you will provide responses to each question. You should anticipate this to take about 15 - 20 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Develops and maintains Revenue Cycle/Financial Analysis and creates performance presentations to use when reviewing performance with Client. Responsible for assessing operational objectives and performance metrics in all areas of revenue cycle and executing upon actions identified during analysis. Additionally, the ops performance analyst will be responsible for understanding both the client needs and how the organization delivers. Include the following. Others may be assigned. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 1. Gather, interpret, and translate customer needs and translate business problems into requirements that facilitate application development 2. Analyze and assess data and product performance to identify issues and ensure appropriate prioritization and compliance with service level agreements 3. Build reporting solutions and develop/enhance existing scorecards, dashboards and other key reports that arto be utilized by management to monitor performance and communicate performance to the client. 4. Develop and maintain standards to measure the effectiveness of all aspects of the revenue cycle, including statistical data for monthly reports (denial reports, late charge reports, etc.). 5. Integrate and analyze data from multiple data sources, determine root cause; summarize and prepare monthly materials for discussions with client and finance teams. Audit and analyze data to verify quality and data integrity. Provide feedback regarding issues and/or anomalies found during analysis to ensure proper communication both internally and externally. 6. Serve as resource for special projects and priority assignments as needs are identified during the analysis process. 7. Prioritize and manage multiple tasks to meet deadlines To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to work independently with little supervision and seek guidance as needed to clarify assignments or request for information. * Excellent communication, customer service and time-management skills * Possess basic business skills, an understanding of general financial operations and major AR goals in the healthcare environment. * Proficient with various desktop applications such as Microsoft Excel, Word, PowerPoint and/or Access. * Intermediate knowledge of relational database management systems * Must be a team player - Always willing to help in whatever way possible and go the extra mile to get the job done. * Intuitive and skilled at problem solving in anticipation of customer request * Have the ability to make logical correlations between data points to determine if analysis is accurate * Detail oriented, meticulous and accurate in completing tasks on time. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Bachelor's Degree, preferably in Business or Health Care, or equivalent experience * 3-6 years experience in physician revenue cycle management PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position and use computer. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment Compensation and Benefit Information Compensation * Pay: $20.51- $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at ******************* Job Function: Finance Job Sub Function: Tax Job Category: Professional All Job Posting Locations: New Brunswick, New Jersey, United States of America Job Description: Johnson & Johnson is recruiting for a Senior Analyst, Global Transfer Pricing. This position will be located in New Brunswick, NJ. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at *******************/. Position Overview The Senior Analyst, Global Transfer Pricing will be engaged to support Enterprise-wide deliverables including global TP documentation, benchmarking analysis, TP audit support, APAs, and TP planning. This position will collaborate closely with a variety of groups including Tax Planning, Disputes, Global Tax Operations, and Regional/Country Finance Leaders. This is a highly technical environment involving frequent contact with tax and non-tax personnel from affiliates around the world and outside advisors. The successful candidate must be a self-directed individual, able to execute activities in a highly complex environment, and possess strong communication and business partnering skills. The primary responsibilities include: Support the US 6662 documentation for both sectors (Innovative Medicine and MedTech). Support in the preparation of transfer pricing documentation that follows Section 482 regulations using the main pricing methodologies (Comparable Uncontrolled Price, Cost Plus, Resale Price, and Profit Split methods). Review and analyze financial data for transfer pricing documentation purposes. Provide support in responding to transfer pricing specific questions from internal stakeholders and external advisors. Assist with the development and implementation of automation tools to further streamline the documentation process. Assist with audit inquiries for TP audits across the globe. Gather information, analyze data, write responses, and research technical issues. Support APAs and other transfer pricing related projects on an ad hoc basis, as needed. Assist with the development and analysis of transfer pricing models. Support preparation of transfer pricing analyses, including benchmarking studies, financial analysis, and risk assessments. Prepare DCF models, analyze cash flows, discount rates, and growth assumptions to support transfer pricing and related valuation analysis. Support Master File preparation and related analytics as required by OECD BEPS initiative. Support the global local file initiative outlined in OECD BEPS Action 13. Drive efficiencies through using technology to automate processes. Work closely with tax, finance, legal, and external advisors to ensure alignment on transfer pricing strategies and documentation and enable business and financial decisions to be made and implemented in alignment with TP policies. Stay abreast of changes in transfer pricing laws and best practices, recommending process improvements to enhance efficiency and compliance. Qualifications A minimum of a bachelor's degree is required. A minimum of 4 years of experience (in tax, finance, economics or transfer pricing) is required, with strong research and writing skills. Prior experience working with transfer pricing regulations including the OECD TP Guidelines and IRS transfer pricing Section 482 regulations. Excellent analytical and problem-solving skills. Ability to work independently and manage multiple projects simultaneously. Excellent business partnering and interpersonal skills, specifically the ability to effectively communicate highly technical matters in clear simple language to business partners is required. Other This position will be based in US. This position may require up to 10% travel. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via *******************/contact-us/careers . internal employees contact AskGS to be directed to your accommodation resource. #Li-Hybrid Required Skills: Preferred Skills: The anticipated base pay range for this position is : $77,000-$124,200 Additional Description for Pay Transparency: ransparency Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave - 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave - 10 days Volunteer Leave - 4 days Military Spouse Time-Off - 80 hours Additional information can be found through the link below. ********************************************* The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market.